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A 25-year-old male is having debridement performed on an infected ulcer with eschar on the right foot. Using sharp dissection,

the ulcer and eschar infection was debrided all the way to down to the bone of the foot. The bone had to be minimally trimmed
because of a sharp point at the end of the metatarsal.
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User Safiron
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Final answer:

Optimal growth conditions for detecting the anaerobic bacterium C. perfringens from a diabetic foot ulcer involve cultivating the tissue sample under anaerobic conditions at 37 degrees Celsius, using special media to facilitate bacterial growth. Debridement is essential in treating infections like this as it removes necrotic tissue, reduces bacterial load, and enables better penetration of antibiotics.

Step-by-step explanation:

Growth Conditions for C. perfringens Detection

The detection of Clostridium perfringens, a bacterium responsible for causing gas gangrene among other infections, requires specific growth conditions due to its anaerobic characteristics (it thrives in environments without oxygen). When dealing with a diabetic patient's foot ulcer, it is essential to check for this bacterium because the dead tissue in ulcers serves as an ideal growth environment for C. perfringens. To cultivate this bacterium and confirm its presence, samples from the debrided tissue should be placed under anaerobic conditions at body temperature (37 degrees Celsius). Special media that supports the growth of anaerobic bacteria, such as cooked meat media or reinforced clostridial media, can be used. Additionally, the media should be supplemented with nutrients that facilitate the growth of C. perfringens, and a microbiological lab analysis should follow to identify the specific strain.

Why Removal of Infected Tissue Stems the Infection

The removal of infected tissue, known as debridement, is critical in stemming an infection for several reasons. First, it reduces the number of bacteria and removes necrotic tissue, which can be a breeding ground for more bacteria. Secondly, it allows for better penetration of antibiotics into the affected tissues, since the dead tissue can limit the efficacy of the medicinal agents. Additionally, it prevents the spread of the infection to other parts of the body. This surgical procedure often results in improved blood flow and serves to initiate the healing process.

User Mark Kelly
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